Wilson Asperger in 1944 ? Wing came up with

Wilson Huete

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English 4

30 January 2018

Aspergers

Asperger’s
Syndrome: Diagnosis and Treatment.” American
Journal of Psychiatry,
ajp.psychiatryonline.org/doi/abs/10.1176/appi.ajp.2008.08020272.

 

History:

?       labeled “autistic psychopathy” by
Asperger in 1944

?       Wing came up with the term
asperger’s syndrome

?       Term appeared 7 decades after
asperger’s contribution

?       Asperger contributed greatly to the
field

 

 

 

Characteristics:

?        patients described as having above-average
intellectual and language abilities

?        significant disturbances in social and
affective communication

?       Some cases showed low intellectual
and language abilities

?        individuals with widely varying intellectual
and language abilities presaged the current notion of a “spectrum” of autistic
disorders

?       Depression In 41% of patients

?       anxiety (8%)

?       bipolar disorder (9%)

?        schizophrenia (9%)

 

Diagnosis:

?        Wing Describes a spectrum in varying degrees
in intensity

?        impairment in social interaction

?       impairment in communication

?       high-functioning autism at the time
describe what was asperger’s syndrome today

?       Diagnosis includes:a detailed
developmental history and review of social, communication, and behavioral
development.

?        Autism Diagnostic Interview—Revised (18, 19)

?       Direct observation of the patient,
using the Autism Diagnostic Observation Schedule

?       diagnosis of AS is about 11 years

 

Causes:

 

 

Pre-Treatment:

?       screening for medical and
psychiatric issues

?       Such as seizures, sleep
difficulties, significant sensory issues, anxiety and depression

?        review of school records and previous testing
and interventions

?       consultation with the child’s
teachers for their observations, particularly of peer interactions

?       occupational therapy evaluation,
with assessment of strategies to mitigate sensory issues

 

 

 

Treatment:

?       approaches to treatment include
adult directed behavioral programs

?        using principles of applied behavior analysis

?       naturalistic child-centered
approaches

?        combination approach drawing on behavioral,
developmental, and social-pragmatic principles

?       A primary focus  is on enhancing social competence

?       Social skills are typically taught
using a variety of methods

?       Such as:  friendship groups, classroom activities,
privately taught social skills group therapy programs

       To teach social skills:

?       direct instruction

?       role playing

?       Modeling

?       social stories

?       in vivo practice with peers, and
constructive feedback            

 

 

Woods, Alisa G, et al. “Treating Clients with Asperger’s
Syndrome and Autism.” Child and
Adolescent Psychiatry and Mental Health, BioMed Central, 2013, www.ncbi.nlm.nih.gov/pmc/articles/PMC3851204/.

 

History:

 

 

Characteristics:

?      
3 common
things:

?      
Lacking
social skills

?      
Cyclical
behaviors and or  objects of interest

?      
1/88
have  as in the us

?      
Has a
higher prevalence among males

?      
4 time
the likelihood

?      
As does
not impeded language development

?      
Does not
impede child development

?      
More
common to be clumsy and movement problems

?      
AS: may
cause nonverbal learning difficulties

?      
Difficulties
having a conversation

?      
Any
social interaction

?      
A feeling
of isolation causes them to lack those skills

?      
Are not
aware the effect of actions

?      
Have
trouble projecting nd or expressing their emotions

?      
 May have anger issues

?      
Their
actions may not represent their inner feelings

?      
Have
trouble understanding underhanded comments

?      
understand
straight forward comments

?      
Don’t
understand how to express feelings

?      
Are overwhelmed
by their feelings

?      
More
Likely to experience bullying and abuse than others

?      
Mood
disorders

?      
Can
experience sensory overload

?      
May have
sensory issues

?      
 

 

Diagnosis:

?      
Use Dsm-5

?      
Or Dsm-IV

?      
 

 

Treatment:

?      
Therapy
would be the best option

?      
To
improve communication and social skills

?      
An aspect
of teaching can also positively affect patient

?      
This is
if patient is uncomfortable with a group

?      
How
patient feels in a major key

?      
Must be
an environment patients feels safe

?      
This is
to allow the patient to unwind

?      
Allows
patient to discover himself and his feeling

?      
Counselor
must be empathetic and honest

?      
CBT

?      
Cognitive
orientation

?      
Occupational
performance

?      
Occupational
therapy

?